AARP Hearing Center
Background
Social isolation, or the lack of meaningful contact with others, is a significant risk factor for many health conditions. It can increase the risk of heart disease, infections, depression, and premature cognitive decline. It is also linked to a higher risk for early death. Older adults are at higher risk for social isolation due to factors like changes in health and loss of family and friends. Social isolation is associated with $6.7 billion in additional Medicare spending annually, comparable to the amount Medicare spends for people with arthritis or high blood pressure.
SOCIAL ISOLATION: Policy
SOCIAL ISOLATION: Policy
Social isolation as a public health issue
Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health. They should develop evidence-based strategies to identify, monitor, and address the problem at the individual and population levels, including in times of crisis.
Screening tools and interventions
Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation. This information should be used to develop effective interventions. Both the tool and the interventions should be evidence-based.
Social isolation assessment and interventions
Medicare, Medicaid, and other payers should reimburse providers for the use of standardized screening tools, including during “Welcome to Medicare” and yearly wellness visits. Payers should also cover evidence-based interventions.
Social isolation in crisis
During times of crisis, state and local governments and the private sector should use evidence-based tools to identify, monitor, and address social isolation among older adults.